肝叶切除术在肝血管瘤外科治疗中的临床运用分析

Clinical value of hepatic resection in surgical treatment of patients with hepatic hemangioma

目的探讨分析肝叶切除术在肝血管瘤外科治疗中的临床应用价值。方法选取2009年1月—2013年1月本院收治接受择期肝叶切除术的肝血管瘤患者30例,其中海绵状血管瘤23例、血管内皮细胞瘤4例、硬化性血管瘤2例、毛细血管瘤1例,进行回顾性分析。结果本组共实施肝叶切除术30例,其中左外叶切除13例,右后叶切除8例,右半肝切除5例,左半肝切除4例,发生术后并发症8例,全部手术均成功,无手术死亡。其中切口感染4例,右胸腔积液2例,二者皆有1例。并发症经治疗全部纠正,所有患者痊愈,出院后随访1年无复发病例。结论肝叶切除术对于各种肝血管瘤均有显著疗效,且技术成熟,成功率高,术后并发症少,复发情况罕见,因而其在肝血管瘤外科治疗中具有重要地位。

Objective To explore the value of hepatic resection in surgical treatment of pa-tients with hepatic hemangioma.Methods Clinical materials of 30 patients treated with hepatic re-section were analyzed retrospectively.Results 30 patients had hepatic resection,including 13 cases of left lobe resection,8 cases of posterior lobe resection,5 cases of the right liver resection,4 cases of left liver resection.8 patients had postoperative complications,including 4 cases of incision infec-tion,2 cases of right pleural effusion and 1 case of both.All complications were cured after treat-ment,and no recurrence cases were observed after a follow up of 6 months.Conclusion Hepatic lobe resection is able to treat various liver hemangioma significantly,and it has the advantages of mature technology,high success rate,less postoperative complications and rare recurrence,so it has an important clinic value.